MS. RANDI JEAN JENSEN (NPI# 1639471048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639471048 |
| Entity Type | Individual |
| Full Name | MS. RANDI JEAN JENSEN |
| Credential | LMHC, CCDC |
| Practice Address |
20162 6th Ave Ne Shoreline WA 98155-1010 |
| Mailing Address |
Po Box 55967 Shoreline WA 98155-0967 |
| Practice Telephone | 2067191894 |
| Practice Fax Number | 2063623847 |
| Mailing Telephone | 2067191894 |
| Mailing Fax Number | 2063623847 |
| Enumeration Date | 2010-11-18 |
| Last Update Date | 2010-11-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CP00002313 | WA | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CB00025587 | WA | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LH60153692 | WA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174994800 | Randi Jensen | Speech-Language Pathologist | 83236 470th Ave, Burwell, NE 68823-6213 | 2015-10-07 |
| Street Address |
20162 6TH AVE NE |
| City | SHORELINE |
| State | WA |
| Zip Code | 98155-1010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922575703 | Dale Worrell | Counselor | Center for Human Services, 17018 15th Ave Ne, Shoreline, WA 98155 | 2018-10-30 |
| 1770060568 | Jason Freed | Occupational Therapist | 1250 Ne 145th St., Shoreline, WA 98155 | 2018-07-24 |
| 1497208771 | Mirit Markowitz | Counselor | 14803 15 Ave Ne, Seattle, WA 98155 | 2016-08-03 |
| 1003207788 | Jessica Hinckley | Counselor | 17018 15tth Ave Ne, Shoreline, WA 98155 | 2015-02-17 |
| 1407119001 | Erika Tydor | Optometrist | 18021 15th Ave Ne Suite 100, Shoreline, WA 98155 | 2012-06-19 |
| 1891075917 | Kieran Joseph Mcmanimon | Massage Therapist | 18724 35th Ave Ne, Lake Forest Park, WA 98155 | 2011-08-20 |
| 1376841270 | Kym Kolb | Massage Therapist | 17908 15th Ave Ne, Shoreline, WA 98155 | 2011-03-02 |
| 1205069333 | Acclaim Body Care, LLC | Massage Therapist | 17517 15th Ave., Suite B, Shoreline, WA 98155 | 2009-08-24 |
| 1881834570 | Jason Sailesh Dave | Naturopath | 2871 University St, Seattle, WA 98155 | 2009-02-20 |
| 1396918975 | Ashleigh Veronique Schultz | Counselor | 216 Ne 175th Street, Shoreline, WA 98155 | 2008-04-04 |
| Find all providers in zip 98155 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295369148 | Randi Pedigo | Counselor | 1516 N 155th St, Shoreline, WA 98133-6002 | 2020-03-01 |
| 1295204287 | David Ketola | Counselor | 1539 Ne 177th St Ste B, Shoreline, WA 98155-5279 | 2018-11-19 |
| 1922575703 | Dale Worrell | Counselor | Center for Human Services, 17018 15th Ave Ne, Shoreline, WA 98155 | 2018-10-30 |
| 1679069264 | Shobana Nuland | Counselor | 134 Nw 183rd St, Shoreline, WA 98177-3440 | 2018-07-06 |
| 1053806646 | Samantha Supit | Counselor | 1314 N 152nd St Apt F, Shoreline, WA 98133-6283 | 2018-06-26 |
| 1821501081 | John Martin Ramsdell | Counselor | 731 N 148th St, Shoreline, WA 98133-6506 | 2017-11-09 |
| 1063921120 | Genevieve Louise Becker | Counselor | 132 Nw 195th St, Shoreline, WA 98177 | 2017-09-21 |
| 1396272563 | Kimberly Michelle Van De Water | Counselor | 1424 Ne 155th St Ste 203, Shoreline, WA 98155-7104 | 2017-05-17 |
| 1952774671 | Jason Apple | Counselor | 20103 20th Ave Nw, Shoreline, WA 98177-2221 | 2015-11-03 |
| 1477965572 | Eliza Christine Baughn | Counselor | 16849 Palatine Ave N, Shoreline, WA 98133-5252 | 2014-05-22 |
| Find all providers in SHORELINE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.